Should we treat surgically in catamenial haemoptysis?

Jeong‐Seon Ryu
In: International Journal of Clinical Practice · 2007 · vol. 61(7) , pp. 1233–1234 · doi:10.1111/j.1742-1241.2006.01199.x · PMID:17577303 · W1649975014
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This letter discusses the rarity of catamenial haemoptysis, the limited evidence for surgical treatment, and the need to reconsider surgical strategies in light of less aggressive, favorable outcomes.

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Abstract

To the Editor: Lu et al. recently reported a case of catamenial haemoptysis who was clinically diagnosed and treated with video-assisted thoracoscopic surgery (VATS). Catamenial haemoptysis is known to be a rare entity which has been published with about 40 case reports in the world. Currently our knowledge on the treatment of catamenial haemoptysis comes exclusively from case reports and experiences of pelvic endometriosis rather than well- designed study. Therefore, no diagnostic or treatment guideline is feasible and also pathogenetic mechanism is not clear in catamenial haemoptysis. In the management of haemoptysis by other aetiologies, surgical resection has been limitedly used in the massive haemoptysis. Notwithstanding that no patient presented with fatal haemoptysis, surgical resection (lobectomy, segmentectomy and VATS) has been used as one of the standard in catamenial haemoptysis (1-5). However, no long- term follow-up results such as recurrence or complication are available. Recently less aggressive strategies have been introduced in the treatment of catamenial haemoptysis with favourable outcome (6-8). Therefore, it is time to reconsider surgical strategy as one of the treatment option, especially in patients showing small amount of haemoptysis.

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endometriosis

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